| NPI | 1639797061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RAY LANGSTON Pharmacy Manager 501-745-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-04-23 |